Single needle blood fractionation system having adjustable recirculation through filter

• US 4,605,503 A
• Filed: 05/26/1983
• Issued: 08/12/1986
• Est. Priority Date: 05/26/1983
• Status: Expired due to Term

• Current Assignee: Baxter Travenol Laboratories Incorporated (Baxter International Inc.)
• Original Assignee: Baxter Travenol Laboratories Incorporated (Baxter International Inc.)
• Inventors: Bilstad, Arnold C., Brown, Richard I., Kruger, Robert J.
• Primary Examiner(s): Spear, Frank
• Application Number:
  US06/498,581
• Time in Patent Office: 1,174 Days
• Field of Search: 422/46, 604/6, 210/321.1, 210/433.2, 210/927, 210/651
• US Class Current: 210/651
• CPC Class Codes: A61M 1/30 Single needle dialysis ; Reciprocating systems, alternately withdrawing blood from and returning it to the patient, e.g. single-lumen-needle dialysis or single needle systems for hemofiltration or pheresis
• CPC Class Codes: A61M 1/303 having a reservoir for treated blood to be returned
• CPC Class Codes: A61M 1/308 Volume control, e.g. with open or flexible containers, by counting the number of pump revolutions, weighing
• CPC Class Codes: A61M 1/3603 in the same direction
• CPC Class Codes: A61M 1/3616 Batch-type treatment
• CPC Class Codes: A61M 2205/3382 Upper level detectors
• CPC Class Codes: A61M 2205/3386 Low level detectors
• CPC Class Codes: A61M 5/16845 by weight

Abstract

A single needle batch-type blood fractionation system for separating plasma from whole blood includes a disposable flow system having a single-lumen phlebotomy needle and associated donor conduit, a flow-through plasma separation filter, and an in-process fluid reservoir. During an initial draw cycle whole blood is pumped through the filter to the in-process reservoir by a peristaltic-type inlet pump operating at a predetermined draw rate. When a predetermined volume of filtered plasma-deficient blood has been collected in the reservoir, as sensed by the weight of the reservoir, the system reverts to a return cycle wherein a portion of the plasma-deficient blood in the reservoir is pumped back to the donor conduit by a peristaltic-type return pump operating at a predetermined return rate higher than the draw rate of the inlet pump. Depending on the relative operating speeds of the inlet and return pumps, an operator-controllable portion of the plasma-deficient blood from the in-process reservoir is returned to the donor through the phlebotomy needle, and the remaining portion is recirculated through the filter. The partial recirculation of plasma-deficient blood through the filter during the return mode reduces the processing time of the system, provides for improved accommodation of whole blood of unusually high or low hematocrit, and enables the use of a smaller and less expensive filter.

Claims

1. A single needle blood fractionation system for separating a blood fraction from whole blood, comprising:

means including a donor interface conduit adapted for connection to a single lumen phlebotomy needle and alternately accommodating forward and reverse flow for alternately receiving and returning blood from a donor through the single lumen of the needle;

means including a first conduit communicating with said donor interface conduit, a flow-through filter in said first conduit for separating blood flowing through said filter into a desired blood fraction component and a fraction-depleted blood component, means including an intermediate fluid reservoir for receiving the fraction-depleted blood component from said flow-through filter, and an inlet pump for pumping fluid from said donor interface conduit, through said filter, and into said intermediate reservoir;

means including a second conduit connecting said intermediate fluid reservoir and said donor interface conduit; and

a return pump for pumping fluid from said intermediate reservoir through said second conduit;

system control means including means continuously operating said inlet pump at a preselected rate for continuously pumping blood through said first conduit, into said filter and into said reservoir, and means intermittently operating said return pump at a preselected rate for intermittently pumping a predetermined aliquot of the fraction-depleted blood component from said reservoir through said second conduit and into said donor interface conduit, said return pump control means being operative for initiating operation of said return pump when said volume of the fraction-depleted blood component present in said reservoir reaches a predetermined maximum level, and for terminating operation of said return pump when said volume present in said reservoir reaches a predetermined minimum level; and

the preselected rate of said intermittently operable return pump being greater than the preselected rate of said continuously operable inlet pump to return during the period said return pump is being operated, a first portion of the predetermined fraction-depleted blood component aliquot to the donor through said donor interface conduit while recirculating a second portion of the predetermined fraction-depleted blood component aliquot through said first conduit, into said filter and into said reservoir along with the whole blood which is being continuously advanced by said inlet pump.

2. A blood fractionation system as defined in claim 1 wherein said system control means are responsive to the weight of said intermediate reservoir.

3. A blood fractionation system as defined in claim 2 wherein said system control means include an electrical weight transducer providing an output signal indicative of the weight of said reservoir.

4. A blood fractionation system as defined in claim 3 wherein said output signal is an analog signal, and said system control means include means for comparing said output signal with predetermined maximum and minimum reference levels.

5. A blood fractionation system as defined in claim 1 wherein the rates of said inlet and return pumps are operator-adjustable.

6. A blood fractionation system as defined in claim 1 wherein said inlet and return pumps are each peristaltic-type pumps.

7. A blood fractionation system as defined in claim 1 wherein said filter is a membrane type filter.

8. A blood fractionation system as defined in claim 7 wherein said filter is a hollow fiber type filter.

9. A blood fractionation system as defined in claim 1 wherein said second fluid conduit means include a bubble trap and a fluid absence detector.

10. A blood fractionation system as defined in claim 1 wherein said separated blood fraction comprises plasma.

11. A blood fractionation apparatus as defined in claim 1 wherein said inlet pump and said return pump each comprise positive displacement pumps.

12. A blood fractionation system as defined in claim 1

and further including means for defining an inline mixing chamber disposed in said first conduit between said donor interface conduit and said flow-through filter, said chamber having a volume substantially equal to or greater than said volume of the fraction-depleted blood component intermittently pumped from said intermediate reservoir to mix said second portion of fraction-depleted blood component recirculated through said first conduit with a portion of whole blood advanced through said first conduit prior to initiating operation of said return pump.

13. The method of separating a blood component from whole blood, utilizing a single lumen phlebotomy needle, and flow-through blood separating means, comprising the steps of:

continuously pumping in whole blood drawn from a donor through the single lumen of the needle through the separation means to continuously separate the blood into a desired blood fraction component and a fraction-depleted blood component;

continuously collecting the fraction-depleted blood component from the separation means in a reservoir;

intermittently pumping back a volume of the fraction-depleted blood component from the reservoir toward the single lumen needle by initiating said pumping back step when the volume of the fraction-depleted blood component in the reservoir rises above a predetermined maximum level and by terminating said pumping back step when the volume of the fraction-depleted blood component in the reservoir returns to a predetermined minimum level; and

maintaining said pumping back step at a higher rate than said pumping in step to return, during said pumping back step, a first portion of the intermittently pumped volume of the fraction-depleted blood component to the donor through the single lumen needle while recirculating a second portion of the intermittently pumped volume of the fraction-depleted blood component back through the separation means along with the whole blood which is being continuously pumped therethrough.

14. A method as defined in claim 13 and further including the step of

mixing, prior to its recirculation through the separation means, the second portion of the intermittently pumped volume of the fraction-depleted blood component with a quantity of whole blood drawn from the donor which is substantially equal to or greater in volume than the total volume of the fraction-depleted blood component pumped from the reservoir during said pumping back step.